While the number of special districts has been growing steadily throughout the United States since the 1950s, Illinois has consistently had more special districts than any other state. In the six-county greater Chicago region, there were 353 special districts (other than school districts) in 1962.
Moral distress is the physical or emotional suffering that is experienced when constraints (internal or external) prevent one from following the course of action that one believes is right. With more responsibility than authority, nurses often lack the autonomy to do what they feel should be done. Nurses often seem unaware of moral distress experience in themselves. Feelings labeled as stress, burnout, emotional exhaustion, and job dissatisfaction may actually be symptomatic of moral distress.
Look up moral turpitude in Wiktionary, the free dictionary. Moral turpitude is a legal concept in the United States and some other countries that refers to an act or behavior that gravely violates the sentiment or accepted standard of the community.